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Montana rates for HCPCS L6450

Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,765.33 / $13,059.90 / $13,059.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,717.61 / $5,180.63 / $5,180.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,717.61 / $4,212.93 / $5,180.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,063.09 / $4,933.93 / $5,180.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,717.61 / $3,888.29 / $5,184.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,668.55 / $1,846.11 / $3,076.85